| NPI | 1053687236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COELI TUVERA Dentist/ Owner 310-833-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55719) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2012-04-02 |